Long-term outcome of inpatients with anorexia nervosa during teenagehood. Biographical analysis of lifecourse.

The social consequances of psychic troubles are unfamiliar and some few studies have been made in France. Nevertheless, it is proofed that these troubles may have an important impact, as in personal life (in a decreasing quality of life) as on the economy of a country. The main aim of our study was to assess the global outcome ( physical, psychological and social) of a cohort of anorexia nervosa inpatients since 1996 to 2002. The secondary aim was focused on the study of interrelationships between this outcome and the care utilization fitted into some life biographies.
On the one hand, the biographic approach has highlighted three factors mostly influencing on the underused care utilization while the psychic and/ or somatic statement are required : the age of the patient at the first hospitalisation, the distance between the home and the hospital and the difficult relationships with the father.
On the second hand, we have focused our attention on the relations between the feeling of psychological chronical disease and the quality of life impairment -especially on mental health. The damage on the mental health (quality of life) is increasing the feeling of chronicity and is reducing the sense of recovery. Indeed,